| Objective:Chronic heart failure was treated with Baduanjin exercise combined with conventional drugs,to observe and analyze the changes in cardiac function,clinical symptoms,quality of life,exercise endurance and cardiopulmonary function.This research is to evaluate the clinical efficacy and safety of Baduanjin exercise in the rehabilitation of chronic heart failure,and to explore a safe and effective exercise program for the treatment of chronic heart failure patients.Methods:Sixty patients with chronic heart failure(heart function ?-?)who met the inclusion criteria were randomized into a treatment group(30 cases)and a control group(30 cases)using a randomized,controlled,prospective study protocol.The control group treated with routine medical treatment and health education and necessary psychological guidance.The treatment group was combined with Baduanjin rehabilitation exercise on the basis of the treatment plan of the control group.The course of treatment was 3 months.Baseline data of the two groups were analyzed before treatment.NYHA cardiac function grading,TCM clinical syndrome score,6min walking distance,Minnesota heart failure quality of life score,anaerobic threshold metabolic equivalent(MetAT),anaerobic threshold power(WAT),kg oxygen uptake at anaerobic threshold(VO2/KgAT)before and after 3 months treatment were observed.Results:1.Before treatment,there were no statistically significant differences(P>0.05)and were with good balance and comparability between the two groups in gender,age,height,weight,blood pressure,heart rate,smoking history,NYHA cardiac function classification,LVEF value,basic causes of heart failure and Therapeutic condition.2.The efficacy of NYHA cardiac function:the total effective rate of NYHA cardiac function grading after 12 weeks of Baduanjin exercise program for patients with chronic heart failure with stable condition was 82%,and that of the control group after 12 weeks of treatment was 64%.The total effective rate of patients in the treatment group was higher than the control group without statistically significant difference.3.Clinical symptoms of TCM:after 12 weeks of treatment,the scores of TCM symptoms in treatment group and control group were both improved than those before treatment(P<0.05),and the scores of symptoms in treatment group was statistically higher than the control group(P<0.05).After 12 weeks,the total effective rate of the two groups was 89%in the treatment group and 82%in the control group,and the overall effect of the treatment group was significantly better than that of the control group(P<0.05).4.Quality of life:there were significantly differences in Minnesota quality of life score and degree of decline between the two groups after 12 weeks of treatment(P<0.05),and the Baduanjin exercise group were superior in these two treatment programs in terms of quality of life improvement.5.Exercise endurance:after 12 weeks of treatment,the 6-minute walking distance of patients with chronic heart failure in the two groups was significantly increased compared with that before treatment(P<0.05).In addition,the difference between the treatment group and the control group before and after treatment was also statistically different(P<0.05).6.Cardiopulmonary function aspects:in the anaerobic threshold in metabolic equivalent,anaerobic threshold power and anaerobic threshold kilograms oxygen uptake,after treatment for 12 weeks,two groups was improved,and the differences between the two groups after treatment were significant(P<0.05),and the differences after treatment for 12 weeks between treatment group and control group were statistically significant(P<0.05).Conclusion:For chronic heart failure patients in stable condition,on the basis of conventional medicine treatment with Baduanjin exercise program can improve the quality of life of patients with cardiopulmonary function,exercise capacity,and can improve the level of anaerobic threshold,increase exercise tolerance,and alleviate symptoms of patients with heart failure without serious adverse events occurred.Baduanjin exercise program is worth further promotion and application in clinic. |
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